Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glenda Prudencio, PA-C

Individual provider Medical Physician Assistant · NPI 1902273584

Glenda Prudencio, PA-C is a Medical Physician Assistant in Glenn Dale, Maryland. Works from 2 locations. Licensed in Maryland and Virginia.

Licensed in
MD, VA
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

12150 Annapolis Rd Ste 308
Glenn Dale, MD 20769-9183
Phone: (301) 805-0006
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14300 Gallant Fox Ln, Bowie, MD 20715-4003 — (301) 805-4348

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence C05930 (MD)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 0110-005091 (VA)

Record details

NPI number1902273584
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 30, 2015
Last updated in NPPESSeptember 20, 2019

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